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Ask the Expert
Have a coding or transcription question? Get an expert answer by sending an e-mail to edit@gvpub.com.

This month's selection:
My question concerns a pediatric acute care setting and CPT codes 99468, 99471, and 99475, Initial in-patient neonatal critical care. When a patient transfers from the neonatal ICU (NICU) or children’s ICU (CICU) to a regular medical floor but returns seven days later for a complication, new problem, or worsening problem, can the provider receiving the patient in the NICU or the CICU charge an initial critical care again?

Julie-Leah J. Harding, CPC, RMC, PCA, CCP, SCP-ED
Children's Hospital Boston

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Editor's E-Note
Through informal conversations with coders, I’ve learned that most are anxious to get ICD-10 up and running. The delay was met more with disappointment than relief.

One reason for coders’ anxiousness is they know the new code sets will generate a more detailed medical record. In one of two E-News Exclusives, the authors celebrate how ICD-10 will provide a comprehensive picture of care while also noting some of its shortcomings.

Lee DeOrio, editor
e-News Exclusives
ICD-10: Increased Specificity Should Clarify,
Not Confuse

By George Schwend and Brian Levy, MD

The sheer volume of diagnosis codes found in ICD-10-CM—roughly 68,000—often leads to the mistaken perception that ICD-10 will create more confusion in the healthcare industry than the current 13,000 ICD-9-CM codes. In reality, however, the specificity inherent in ICD-10 should clarify a great deal about care processes. The key is to ensure that provider documentation completely and accurately maps to codes with precise descriptors rather than those that are unspecified.

Full Story »

Considerations for ICD-10 Preparation
By David Van Doren, RHIA, CCS, RAC-CT

With the government’s one-year delay in the transition deadline for ICD-10, medical organizations have an opportunity to apply a focused effort toward enhancing overall medical documentation to minimize the impact of the change on their reimbursements. With significantly more codes than its predecessor and, more importantly, an increased level of procedure specificity, ICD-10 will require a greater deal of documentation from the clinician to ensure a smooth transition.

Full Story »
Other News
Health Records Lost, Stolen, or Revealed Online
Despite the law to protect patients’ health information privacy, more than 400 large healthcare breaches and more than 50,000 smaller breaches have been reported since fall 2009, the Chicago Tribune reports.

Firm Focuses on Health Records Going Digital
The CEO of Atlanta-based Business Computer Applications discusses the need for EHR utilization in a Q & A with The Atlanta Journal Constitution.
Industry Insight
HIE Guide Named HIMSS Book of the Year

HIMSS has named The Health Information Exchange Formation Guide: The Authoritative Guide for Planning and Forming an HIE in Your State, Region, or Community its 2011 Book of the Year.

The book and its coauthors, health information consultants Laura Kolkman, RN, MS, FHIMSS, and Bob Brown of Mosaica Partners, a health information exchange (HIE) consulting firm, were honored at the HIMSS Awards Banquet during the 2012 Annual HIMSS Conference and Exhibition.

“Each year, the HIMSS Book of the Year award recognizes a book that offers outstanding practical guidance and/or strategic insight for healthcare information and management systems professionals,” says Fran Perveiler, vice president of communications for HIMSS.

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Tech & Tools
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PerfectServe Clinician App
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The Medical Letter Mobile Apps
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